Скачать или смотреть Why you're having carpal tunnel signs after open surgery

Dr. Perlmutter and Kelley, PA-C, discuss reasons that a patient might encounter carpal tunnel symptoms after they've had open carpal tunnel surgery, and they discuss why they believe endoscopic carpal tunnel surgery is better.

Transcript:

So Dr. Perlmutter, here's something I see not infrequently at our practice.As a matter of fact, I saw somebody today. She's had an open carpal tunnel, but it was in 2014. She's having recurrent symptoms that are similar to carpal tunnel. She still has a positive Tinel's, which is when we tap on the wrist and it causes a shock pulsing sensation through the nerve that goes through the median nerve sensation strip on the hand. And she's wondering why she's having recurrent problems and she's had a carpal tunnel surgery. Can you address that for me, please?

Sure can sometimes carpal tunnel releases that are done non-endoscopically through an open incision, which is a bigger incision here may not actually have a gone through the whole length of the carpal tunnel. Sometimes uh a very short incision is performed not endoscopically but open because the ligament is thickest in the middle. And, there are some surgeons that feel that if you just cut the central part of it, which is the thickest part, that they'll cure all their patients. When in reality, it doesn't.

Sometimes if you have this remaining part of the ligament that is undivided, if they do aggressive activities or if they swell years later in their life, they can get a re-pinching of that carpal tunnel because it was never fully completely released.

The other major cause of it is some doctors and surgeons will put their patients in a splint after the carpal tunnel release and limit their wrist motion. And when scar tissue forms, it sticks to everything with the Latin name. It sticks to tendons, it sticks the nerves, it sticks the skin.

And if they're not moving aggressively in the immediate postoperative period, those adhesions that stick everything together, including the nerve to the tendons can cause a recurrence in their pain even though they had a successful well done carpal tunnel release. But they were, in my opinion, inappropriately splinted afterwards, and perhaps not sent to therapy.

All right. So, what that's saying is if you've had an open carpal tunnel done here, done by somebody else and you're having a recurrence of your symptoms, increase problems with your hands, you should be evaluated and we'd be glad to do so here at Carolina Regional orthopedics.

Learn more about Carolina Regional Orthopedics at https://www.crortho.com/ and learn about our treatment areas here https://www.crortho.com/treatment-spe...

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